Organization
LAUNCH PEDIATRIC REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BASTIAN DPT (PRESIDENT)
(616) 294-8050
Entity
Organization
Contact information
Practice address
13448 GREENBRIAR DR, GRAND HAVEN, MI 49417-9161
(616) 294-8050
Mailing address
13448 GREENBRIAR DR, GRAND HAVEN, MI 49417-9161
(616) 294-8050
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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